Application for a Graduate Accommodation Bursary

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1 Please read the following information before lodging your application Accommodation bursaries are to assist students experiencing unexpected financial difficulty in meeting your accommodation costs. Funds are granted subject to eligibility assistance is not on-going. Eligibility Criteria: Be enrolled as a graduate student at ANU Be enrolled as a candidate for an ANU award on a full-time basis Be able to demonstrate financial need Not be in receipt of a substantial scholarship or financial assistance from any other source over $5,000 eg Residential Hall Bursary. Recipients of the ANU Access Scholarship are still eligible. Applications are assessed and awarded at the discretion of the Committee and may include a personal interview. The Committee will determine the amount of any bursary granted dependent upon assessment of the student s need and the availability of funds. Applications are awarded on a per semester basis up to 24 weeks per semester, with the total maximum period being 48 weeks. Students are not eligible to receive more than 48 weeks of bursary assistance over the course of their graduate studies. Bursaries granted to students living in an ANU Hall or affiliated residence will be paid directly to the residence to offset the student s rent account. Please note: Lodging an application does NOT guarantee a bursary will be awarded. How to apply: 1. Print this form and clearly answer/complete all sections of this form 2. You may be asked to provide proof of any claim which you make on the form 3. Failure to complete sections or the provision of misleading information may jeopardise your application 4. Provide copies of your bank statements for the last 6 months. Failure to do so will result in your application not being assessed 5. Send your application to: Accommodation Services Division of Student Life Building #77, Brian Lewis Crescent E F T Page 1 of 5

2 All information provided on the form will be treated confidentially Application checklist To ensure that your application is complete please check the following: I have: Attached Australian bank statements for the previous 6 months. Failure to do so will result in your application not being assessed. (Note: if you have not had an Australian bank account for the last 6 months please provide copies of your foreign account). Completed all sections of this application International Students You have declared to the University on your Statement of Financial Responsibility, when accepting your academic offer, that you have sufficient funds to support the duration of study and you were required to show proof of your ability to support yourself before being granted a visa. Given a detailed account of how my circumstances have changed to warrant this application request (page 5) Domestic Students Undertaking a program of study requires forward financial planning and the ability to support yourself financially for the duration of study. Given a detailed account of how my circumstances have changed to warrant this application request (page 5) Page 2 of 5

3 Section 1 - Personal Details Last Name Given Names ANU Student ID Date of Birth (dd/mm/yy) / / (Please tick ) Male Female What is your current Canberra address while studying at ANU? Suburb: Postcode: Telephone: Mobile: 2: Section 2 - Course Information Are you a Graduate Coursework or Research student? (Please tick ) Coursework Research What is your current Program of study? (eg: PhD Economics) What year of study? (eg; 2 nd year) Are you: (Please tick ) Full-time Part-time What year do you expect to complete? Will you be absent from Canberra (e.g. for field work) during the semester? (Please tick ) No Yes If yes, state period and reason below. Section 3 Financial Information Do you have confirmed employment for the 2014 academic year? (Please tick ) Yes No If no, how will you support yourself? If you are living off savings please provide details. What is the total amount of your savings? Please attach copies of your bank statements for the last 6 months. Failure to do so will result in your application not being assessed. Page 3 of 5

4 Please provide below details of all your expected 2014 income. You must estimate fortnightly dollar amounts for each heading (in Australian Dollars only). Employment (please specify ) Pension or other government assistance (please specify ) Scholarships/other bursaries/awards Assistance from family members/spouse/partner Other (please specify ) Total: Please provide below details of all your expected expenditure. You must estimate fortnightly dollar amounts for each heading. Rent Food, power etc. Transport Loan repayments Childcare Children s education Other (please specify ) Total: Have you already paid your tuition fees? (Please tick ) Yes No If no, what amount is outstanding? If you are receiving a scholarship, what is its title? When does your scholarship expire? Have you applied for any other loans, bursaries, grants or financial assistance? Page 4 of 5

5 Section 4 Family Information Please list below the names and ages of your dependants who will be living with you. Please note: The following must be answered by all applicants. Failure to do so could jeopardise your chances of a receiving a bursary. All students: Undertaking a graduate program of study requires forward financial planning. Information on the costs of living in Canberra is readily available. International students: You have declared to the University on your Statement of Financial Responsibility, when accepting your academic offer, that you have sufficient funds to support the duration of study and you were required to show proof of your ability to support yourself before being granted a visa. How have your circumstances changed and why do you require this assistance? Please outline your long-term financial program to support your studies? Declaration I declare that all information provided on this form is complete and correct. I understand that the University may require evidence to support claims that I have made in this application, and check information provided on this form against other University records. I understand that any incorrect statements on this form may jeopardise my application or lead to the revocation of any bursary after it has been granted. I undertake to notify the University of any change in my financial circumstances. Privacy Act 1988 Collection Notice - The personal information provided by the applicant is necessary for University Accommodation Services to verify the applicant s identity and eligibility to apply for the Endowment Accommodation Bursary. Personal information collected about the applicant in this application may be compared with information already held in the ANU Student System and discussed with relevant persons within the ANU or external to the ANU. Signature: Date: / / Page 5 of 5

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